DR. KELLY DAWN BLOCK


Address: 4855 S.w. Western Ave, Beaverton, OR 97005
Phone: 5033502408

DR. KELLY DAWN BLOCK (NPI# 1396831913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396831913
Entity Type Individual
Full Name DR. KELLY DAWN BLOCK
Credential M.D.
Practice Address 4855 S.w. Western Ave
Beaverton
OR 97005
Practice Telephone 5033502408
Practice Fax Number 5033502438
Mailing Telephone 5033502408
Mailing Fax Number 5033502438
Enumeration Date 2006-10-04
Last Update Date 2010-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD20692 OR Other Service Providers

Other Providers KELLY BLOCK

NPI Name Taxonomy Address Enumeration
1740786631 Kelly Lauren Block Student in an Organized Health Care Education/Training Program 6410 Fannin St Ste 104, Houston, TX 77030-3000 2018-04-01

Office Location

Street Address 4855 S.W. WESTERN AVE
City BEAVERTON
State OR
Zip Code 97005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902913106 Michael Laurin Adams Clinic/Center 4855 S.w. Western Ave, Kaiser Permanente - Occupational Health, Beaverton, OR 97005-3499 2006-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945053 Krista Lowe Schimmelbusch Student in an Organized Health Care Education/Training Program 12730 Sw 3rd St., Beaverton, OR 97005 2020-06-05
1346882578 Mireya Elissa Nunez I Counselor 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 2019-10-09
1548816879 Logan James Patzlaff Behavior Technician 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-08-13
1528521424 Alex Taylor Foerman Behavior Technician 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-04-09
1285193003 Hazelnut Dental LLC Clinic/Center 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 2019-03-19
1992286348 Kathryn Wallner Counselor 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 2018-08-23
1699265058 Meaghan Mikulic Social Worker 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 2018-05-11
1629568936 Aimee J Nelson Massage Therapist 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 2018-05-11
1093221780 Ember Dahl Massage Therapist 12655 Sw Center St Ste 530, Beaverton, OR 97005 2017-12-18
1033667456 Andre Vo Pharmacist 2575 Sw Walker Rd, Beaverton, OR 97005 2016-09-14
Find all providers in zip 97005

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265819858 Tiffani Morning Specialist 20873 Sw Ravenswood St, Beaverton, OR 97078-5424 2015-05-03
1558753616 Trisha Egbert Specialist 4400 Sw 110th Ave Ste 101, Beaverton, OR 97005-3033 2015-02-26
1376940981 Denise Clopton Specialist 12947 Sw Cherry Blossom Ct, Beaverton, OR 97008-5675 2014-11-25
1235550633 Jennifer Gabriel Specialist 15075 Nw Oakmont Loop, Beaverton, OR 97006-5506 2014-01-02
1013354315 Cynthia Ann Munyon Specialist 14745 Sw Surrey Ct, Beaverton, OR 97006-5989 2013-05-28
1831536473 Corey Walden Specialist 9610 Sw Sunshine Ct Ste 300-400, Beaverton, OR 97005-4154 2013-05-22
1558628008 Lisa Marie Campos Specialist 1925 Nw 173rd Ave, Apt #1610, Beaverton, OR 97006-7319 2012-04-20
1053616441 Gina Marie Johnson Specialist 2077 Nw Town Center Dr, Beaverton, OR 97006-8938 2011-01-17
1245476811 Christy L Herbert Specialist 957 Sw Willow Creek Dr, Beaverton, OR 97006-2404 2009-01-01
1346499803 Kathleen Louise Bedford Specialist 8155 Sw Hall Blvd, Beaverton, OR 97008-6416 2008-09-09
Find all providers in BEAVERTON

Competitor

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City BEAVERTON
Zip Code 97005

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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